| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $188.50 | $188.50 | $359.55 | |
Cigna
| Professional | $159.06 | $167.65 | $198.03 | |
Molina
| Professional | $71.00 | $85.26 | $118.59 | |
Regence BlueShield
| Professional | $152.31 | $239.11 | $326.55 | |
United
| Professional | $109.23 | $132.40 | $238.33 |